Healthcare Provider Details

I. General information

NPI: 1447908009
Provider Name (Legal Business Name): ROBERT HLAVIN MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/14/2022
Last Update Date: 06/24/2026
Certification Date: 06/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1450 SAN PABLO ST STE 3600
LOS ANGELES CA
90033-5332
US

IV. Provider business mailing address

1450 SAN PABLO ST STE 3600
LOS ANGELES CA
90033-5332
US

V. Phone/Fax

Practice location:
  • Phone: 323-442-7256
  • Fax:
Mailing address:
  • Phone: 323-442-7400
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License NumberA208081
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: